IN LIEU OF IEP TEAM ATTENDANCE REPORT

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IN LIEU OF IEP TEAM ATTENDANCE REPORT
Student ________________________________
Grade ___________
IEP Team Meeting Date ________
Excused IEP Team Member ___________________________________
Curricular or Related Service Area(s) ___________________________
Directions for excused team members:
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Complete this form if you have been excused from the IEP Team meeting and your area of curriculum or
related service will be discussed in your absence.
Attach copies of relevant reports, draft IEP pages, additional information, etc.
Provide this report to the IEP Team chairperson and the parent prior to the meeting.
PRESENT LEVELS OF ACADEMIC ACHIEVEMENT AND FUNCTIONAL PERFORMANCE:
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SUGGESTIONS FOR GOALS/MODIFICATIONS/ACCOMMODATIONS/SERVICES:
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Excused Team Member Signature
Position
__________________
Date
Parent Statement:
I have been provided an opportunity to review this report prior to the development of the student’s IEP.
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Parent Signature
West Virginia Department of Education
July 2013
Date
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